Patient Rights

YOUR PATIENT RIGHTS

Welcome to our Practice. We respect our patients' dignity and pride.

This document will explain your patient rights and responsibilities. It is part of your patient registration and is an important part of your health care plan. If you have any questions, please contact the Practice/Clinic leadership.

Our commitment to you, our patient, includes the following rights. We comply with applicable Federal civil rights laws and affirm that we will deliver high-quality health care to every patient without regard to:

risks, benefits and side effects of all medicines and treatment procedures for your diagnoses

innovative or experimental medicines and treatment procedures of diagnosis offered

alternative treatment options offered

your procedure and to “give informed consent” before it begins

possible outcomes of your care and treatment

the assessment and management of your pain

When and if the Practice recommends other health care institutions:

to participate in your care

to know who these other health care places are and what they will do

to refuse their care

Get help from the doctor and others for follow-up care, if available

To change providers or get a second opinion, including specialists at your request and expense

Decision Making and Notification

Choose a person to be your health care representative or decision-maker

Exclude those you do not want help from or to join in your care or decisions

Ask for, but not have the right to demand, services the Practice does not think are needed or appropriate

Refuse treatment

Be included in experimental research only with your written consent

Refuse experimental research including new drug and medical device investigations

Receive the information necessary to approve a treatment or procedure

Give consent to a procedure or treatment

Access to Services

Receive free services of a translator, interpreter, or other necessary services or devices to help you communicate with the Practice in a timely manner (i.e. qualified interpreters, written information in other format or languages, etc.)

Bring a service animal except where prohibited pursuant to Practice policy

Have access to our facility buildings and grounds in compliance with The Americans with Disabilities Act, a law that stops discrimination against people with disabilities. The ADA policy is available upon request

Prompt and reasonable response to questions and requests for service

If you need any of the above services, contact the Practice management team at (303) 534-9560.

Ethical Decision

Talk to and join in with your doctor about:

conflict resolutions

withholding resuscitative services

foregoing or withdrawing life sustaining care

investigational study or clinical trials

Know that if your health care expert decides your refusal to accept treatment prevents you from getting the right care (as stated by its ethical and professional standards), it can end the relationship

Payment and Administrative

Review your health care bill regardless of your ability to pay it or the payment source

Receive information about available financial resources

If uninsured, to receive, before the provision of a planned nonemergency medical service, a reasonable estimate of charges for such service and information regarding any discount or charity policies for which the uninsured person may be eligible.

Know if the Practice, doctors and other team members accept Medicare, the government's health insurance for those aged 65+ or disabled

Know and understand the Medicare charges for your services and treatment provided

Receive if you ask, with explanation, a reasonable estimate of your health care charges before treatment

To be free from any requirement to purchase drugs, or rent or purchase medical supplies or equipment from any particular source (specifically in accordance with the provisions of the CA Section 1320 of the Health and Safety Code) and also to receive patient choice in these type of decisions

Initiation, review, resolution of patient complaints, including the address and phone number to file complaints

Discuss complaints, issues, or problems regarding discrimination in access to services with your doctor and/or the Practice management team/ Equity Compliance Coordinator at (303) 534-9560. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Equity Compliance Coordinator is available to help you.

File a complaint with the Ethics Line (1-800-994-6610), the Department of Health and Human Services*, Office of Civil Rights* or others with your concerns about patient abuse, neglect, misuse of your property at the Practice, other unresolved complaints, patient safety, and quality concerns